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Evidence-Based Practice Implementation in Community Mental Health Settings: The Relative Importance of Key Domains of Implementation Activity

Abstract  

Implementation research has examined practice prioritization, implementation leadership, workforce development, workflow re-engineering,
and practice reinforcement, but not addressed their relative importance as implementation drivers. This study investigated
domains of implementation activities and correlated them to implementation success during a large national evidence-based
practice implementation project. Implementation success was correlated with active leadership strategically devoted to redesigning
the flow of work and reinforcing implementation through measurement and feedback. Relative attention to workforce development
was negatively correlated with implementation. Active leaders should focus on redesigning the flow of work to support the
implementation and on reinforcing program improvements.

  • Content Type Journal Article
  • Pages 1-12
  • DOI 10.1007/s10488-011-0357-9
  • Authors
    • William C. Torrey, Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Comercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766, USA
    • Gary R. Bond, Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Comercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766, USA
    • Gregory J. McHugo, Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Comercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766, USA
    • Karin Swain, Dartmouth Psychiatric Research Center, Rivermill Comercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766, USA
    • Journal Administration and Policy in Mental Health and Mental Health Services Research
    • Online ISSN 1573-3289
    • Print ISSN 0894-587X
Posted in: Journal Article Abstracts on 05/25/2011 | Link to this post on IFP |
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